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I've been asked to "Share the Customer Perspective," at an upcoming talk at Harris's healthcare leadership conference.

Want to share some perspectives that I can pass on? Any information, thoughts, videos, and/or photos that help constructively articulate your perspective would be helpful!

Thanks!
Jon

Last edited by BrotherJon; 02/07/2024 8:56 AM.
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From a 62 y/o family physician who has used AC at a fraction of its potential, I have to say that I have been very pleased with the product at the price.
I'm pleasantly surprised that I haven't felt compelled or needed to change my EMR, as so many of my colleagues have had to do over the years that I have used AC.
ACZ


Anthony (Ton) Zwaan
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To have any future, Harris and AC need to incorporate AI into AC. It's already being done by E-clinical. You set your iPhone next to the patient who came for a follow-up on, let's say, DM, hyperlipidemia, and HTN, needing refills and labs. You talk about yesterday's Super Bowl among other things. The patient tells you their BP and BS readings. You say, 'I am refilling your meds today, and we are drawing these labs.' You stand up and leave. Your note already reflects BP and BS logs, HPI, etc., refills sent, labs ordered. No Super Bowl talk in the note. Technology is already there. Harris just needs to lift its corporate [censored] and spend some money.

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Why can't I say A.S.S. here?









see below
|
v

Last edited by Bert; 02/15/2024 9:26 AM.
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What would I like Harris leadership to know?

As users of a Harris EMR, our futures are tightly connected to the future of the company. We spend all day working with your product, and we rely on it for our professional success. We need you to continue to develop, improve, and support it. You need us to feel that the EMR is an asset to our practice, and to spread the word that it is a great product. A static, outdated program will not serve any of us well. Nor will one that keeps up with various mandates and programming requirements without true improvements in the user experience.

Toward that end, we need to communicate. In both directions. Harris needs to inform us about the development process and the overall trajectory and goals that you have in mind for the product and for its users. Harris also needs to actively seek out our opinions on the current and future state of the product. How can you know which of our needs are being met (and which are not) without a proactive effort to learn about our experience?

Harris has some great employees. Committed, smart people with good ideas and good intentions. Leadership needs to give those people the resources they need to identify and implement improvements in the development process, in the EMR itself, and in delivery of support.


Jon
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Help us track down the biggest pain points in daily use. For me it's still random once every 2-3 week crashes and .net errors. I think it's a matter of server version, .net version, windows updates. Would like a known good configuration that we could emulate (what do they run on cloud?)

I don't really need new features, but maybe a few critical ones, just ask us.

Communicate. Feeling forsaken is what makes me look at other EMRs.


Larry
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@Mnemonic: You can say ASS

Last edited by Bert; 02/15/2024 9:25 AM.

Bert
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Originally Posted by beagle
Help us track down the biggest pain points in daily use.

This is actually a really good point.
Back in the early days, as we struggled to adapt to the EMR, the "pain points" were obvious. Now we have gotten accustomed to them. So much so that it can be hard to identify the things that are challenging or even just annoying. If we let ourselves focus on these things everyday, we would go nuts. It can be tough to take a step back and figure out what really needs improvement.

That may actually drive some of the LACK of response to users to the question "what do you need".


Jon
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Ditch New Crop, Surescripts and any third party bottlenecks. Not sure why even to get my own prescribed drug history should take about 40 seconds. At least 60 seconds to confirm e-Rx prescriptions. Surescripts is better by comparison in getting Rx from other providers into the medical record.


Lane Cook
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"Experience is NOT doing the same thing over and over"
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You can't ditch SureScripts. It is the main backbone of all of eRx. It is like the internet, while Allscrips and NewCrop, etc. are similiar to what takes your computer to the internet. I don't think AC will be getting away from NewCrop in a while. But you have to have some type of NewCrop or eRx won't work.

Harris is working on all of this. Stay tuned. It should get fun.


Bert
Pediatrics
Brewer, Maine

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If I sat down with a notepad and went through my day; I would like come up with dozens of small things that I would like to see improvements in but honestly - overall, where I would like to see improvement is in the aesthetics and layout.

The burden of being married to an Art Director for a major marketing company is seeing things through the lens of an artist. And the reality is; pretty and shiny sells and we will excuse the subtle problems and limitations in a system that we find pleasant and palatable. We joke around in our clinic when things go wrong; Is it being AMAZING? And we giggle.

In all reality, we all secretly love the ease of the charting system. And it's honestly a fairly robust product overall that we are comfortable with and have found our way to work around any of it's shortcomings. But as the Office Manager; it's lacking in a lot of the basic functions that I need from it like inventory options, more diverse population functions, a more intuitive record release and referral options, and tailoring to our specific patient needs......but I think those things are manageable given how deeply entrenched we are in Amazing Charts and with the recent addition of Updox.

The overall encounter experience is pretty polished for us. It's the ancillary services; orders, labs, referrals, release records, transitions of care, and the overall aesthetic that I would love to see y'all focus on. But that's just the thoughts of an Office Manager that walked into dysfunction that's also married to an artist.

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@Sabbath,

Funny that you mention that. I have been talking about the overall look and formatting for years, but it seems to be function over form forever. The formatting of the note could be much better. Even changing the color of the GUI every five or six years would be cool.

But, overall, it is the formatting that could be improved in a lot of areas.


Bert
Pediatrics
Brewer, Maine

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I agree about the "looks" especially the printed orders page. You can't even read the heading that shaded in grey if you fax it!


Serene
Office Manager
General Pediatrics
Houston, Texas

Moderated by  ChrisFNP, DocGene, JBS, Wendell365 

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Comment Guidelines: Do post respectful and insightful comments. Don't flame, hate, spam.
Bert: Please comment on the board
Bert: for this issue
Mark@AC: NewCrop just informed us that there is an outage. They are investigating, but no ETA at this time.
koby: yes what a combo new crop and AC reliable as Amazon......NOT
Mnemonic: A lot of fake stuff on Amazon, Just saying.
koby: but they take it back....NewCrops fixed
Mark@AC: Updox System Issues An update has been posted We will be taking the application offline at 4:30 PM (Eastern) to perform emergency maintenance. The application will be down for approximately 1 hour.
AmazingDave: 10/14. Multiple eRx failures. Anyone else?
JBS: eRx not working for us this morning 10/15 630am Eastern
JBS: Looks like its related to the migration - we completed it by NewCrops apparently doesnt think so
beagle: updox is downdox again, 10/15
JBS: updox back up... now if we can just reach Ac to restore eRx
DocMark: eRx is up for us but slow, unworkable
BrotherJon: eRx issue for many. New Crop and AC working on it.
ChrisFNP: yep, refills have crashed twice today
Dr M @ EmmFamPr: newcrop down for us also; and we did the migration; unable to send anything electronically
ChrisFNP: Any updates fr us in the CST area?
ACZ: Still no fix to prescibing. Nobody available from AC last time I checked. I have an email request in. Anyone else?
ACZ: update on prescribing: After calling thursday morning and leaving a message, received call from AC. They changed something on their end, and prescribing is fixed.
eriklloyd: 11/11/24 - Prescription failure for us. Anyone else experiencing issues?
Pinky: Yes. Prescriptions aren't going through.
beagle: anyone contact ac and get eta fix?
AMCS: Same
AMCS: This is from newcrop: New incident: Investigating We are currently investigating an error that may occur when attempting to transmit prescriptions. This is resulting in prescriptions remaining queued. Our engineers are working on resolution presently.
Bert: I am sure AC knows. It's probably a NewCrop issue and they are working on it
Pinky: It is working now. 1pm EST. 11/11/24.
Clem Surak: Is anyone else using ACPM and the EOBs are not matching up to patient accounts and the EOBs are having to be retyped into ACPM? Started a couple of weeks ago. Payer IDs are correct and match the EOB payer IDs.
tcosta: @ Clem Surak: yes, this has been going on for MONTHS in our office. We've been told it's the payers fault and it has to do with loop segments and payer response. Doesn't make sense to me, considering it's ALL the time now on multiple EOB's a week.
tcosta: It almost never used to happen and now it's constant.
tcosta: ACPM is extremely short staffed and it's taking them days to respond and fix the issue.
Clem Surak: Yes, it has been getting progressively worse. I have a ticket logged, but have not heard back, so I keep retyping the EOBs so that our accounting is up to date. Hope the migration to the new Clearinghouse fixes this issue. Thanks for the response.
Bert: Can anyone tell me where the post is from AIDevelopment
ChrisFNP: Anyone else experinencing sloooowwww prescribing? 11/22/2024 1550CST
Reena: eprescribing has not worked for me all day
awcenter: Anyone having problems with escribe this morning
ChrisFNP: 12/16 very slow escribe but working
ChrisFNP: I think escribe is already on Holiday 12/20
beagle: Alas, random escribe slow downs unfortunately par.
DRMO: anyone else having problems with e-prescribing today? Had issue on Friday also, but it autocorrected. now back 12 30 24
ChrisFNP: can't validate for controlled
DRMO: AC support did a remote assist. problem fixed. TY
ChrisFNP: MIne corrected about 2 cst
Headcase: I cannot Rx Fioricet last few days, put in support ticket....
Headcase: This Fioricet thing probably is of limited general interest, but I was able to send generic...
Bert: This sucks
ChrisFNP: A/C meeting today at NOON EST
ChrisFNP: Meeting is 2/26/2025 should have an email with the invite
koby: does it matter if NewCrap is worse on a Friday than a Monday?
ChrisFNP: nope, both are busy for me
lesmar: "Prescription batch error. There was an unknown failure trying to complete the prescription batch for [patient name]."' I was just trying to send a refill on narcotic medication. Any suggestions would be greatly appreciated. Thanks
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